Organization
HIGH MEADOWS RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY STUMP (CEO/OWNER)
(304) 237-2339
Entity
Organization
Contact information
Practice address
204 N EISENHOWER DR, BECKLEY, WV 25801-4137
(304) 237-2339
Mailing address
PO BOX 883, SHADY SPRING, WV 25918-0883
(304) 237-2339
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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